DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gould, Donald Ernest	DOIID	696657	NAIC NPN	667890

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/6/2009	12/31/2014
Inactive	Non Resident	Agent	Casualty	1/6/2009	12/31/2014
Inactive	Non Resident	Agent	Life	9/6/2013	12/31/2014
Inactive	Non Resident	Agent	Health	9/6/2013	12/31/2014
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	5/6/2010	6/26/2014
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	5/6/2010	6/26/2014
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	5/6/2010	6/26/2014
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	5/6/2010	6/26/2014
Inactive	LM Insurance Corporation	301061	Agent - Casualty	5/6/2010	6/26/2014
Inactive	LM Insurance Corporation	301061	Agent - Property	5/6/2010	6/26/2014
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	5/6/2010	6/26/2014
Inactive	Liberty Insurance Corporation	300444	Agent - Property	5/6/2010	6/26/2014
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	5/6/2010	6/26/2014
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	5/6/2010	6/26/2014
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	5/6/2010	6/26/2014
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	5/6/2010	6/26/2014
Inactive	North Pointe Insurance Company	301029	Agent - Casualty	1/20/2012	12/31/2014
Inactive	North Pointe Insurance Company	301029	Agent - Property	1/20/2012	12/31/2014
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	5/6/2010	6/26/2014
Inactive	Wausau Business Insurance Company	301476	Agent - Property	5/6/2010	6/26/2014
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	5/6/2010	6/26/2014
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	5/6/2010	6/26/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Next Wave Insurance Services LLC	699737	Agent - Property	6/28/2013	12/31/2014
Inactive	Next Wave Insurance Services LLC	699737	Agent - Casualty	6/28/2013	12/31/2014
Inactive	Next Wave Insurance Services LLC	699737	Agent - Life	9/19/2013	12/31/2014
Inactive	Next Wave Insurance Services LLC	699737	Agent - Health	9/19/2013	12/31/2014